First Mountain Medical, LLC

NPI #1932400520 in Jasper, Georgia

Provider Information

NPI Number: 1932400520
Entity Type: Organization
Organization Name: First Mountain Medical, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 12, 2010
Last Updated: Nov 12, 2010

Practice Location

Address: 640 WEST CHURCH ST
City: Jasper
State: Georgia
ZIP Code: 30143
Phone: (706) 253-3737

Authorized Official

Name: MRS. TRACI RENEE HARRIS
Title: OWNER
Phone: (770) 894-4939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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